EDUCATIONAL INFORMATION

Name and Location of School

SKILLS & QUALIFICATIONS

Summarize experience, skills, special training, licenses, or certifications that may assist you in performing the position for which you are applying.

REFERENCES

Please list the name and telephone number of three professional references who are not related to you and that you have known for at least one year. Include at least one previous supervisor. Please provide the best telephone number to reach each contact.

EMPLOYMENT HISTORY

Please complete every space. Starting with your most recent employer provide the following information:

MILITARY SERVICE RECORD

ADDITIONAL INFORMATION

AUTHORIZATION

I understand that Meridian Roofing Solutions (the Company) is not making an employment offer at this time. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment or for termination, if employed.

I authorize the Company to contact any company, institution, or individual it deems appropriate to investigate my employment history. character, qualifications, credit history, driving record, an other relevant information, if job-related. I give my full consent for all contacted individuals, including current or former employers, to provide information concerning this application, and I waive my right to bring any cause of action against these individuals for any and all liability for damages arising from furnishing the requested information to the Company. I acknowledge that a facsimile or photocopy of this form is as valid as the original.

Offers of employment are contingent upon finalizing pre-employment actions which may include: drug test and/or physical examination, or other items may be required. The Company may withdraw an offer of employment any time for any reason prior to the original agreed upon start date, or after should results come back later. I understand that this application is. current for 90 days. At the conclusion of this time, if I have not heard from the Company and still wish to be considered for employment, it V:,111 be necessary to complete a new application.

I understand that if I am hired, my employment and compensation at the Company is “at will” and may be modified or terminated by myself or by them at any time, with or without cause or notice, for any reason or for no reason. I understand that no representative of the Company has the authority to make any assurance to the contrary. I agree to conform to the rules and regulations of the Company.

EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE

Applicants are considered regardless of race, color, national origin, religion, gender, age, marital status, veteran status, medical condition, disability, or any other legally protected status. Equal access to the hiring process, services, and employment is available to all individuals. Applicants requiring accommodations to the application and/or interview process should contact the human resource representative.